Download RGUHS (Rajiv Gandhi University of Health Sciences) MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Third Year Part II) 2024 Feb 1038 Internal Medicine Paper II Rs 4 Previous Question Paper
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase ? III (PART II) (CBME) Degree Examination - 28-Feb-2024
Time: Three Hours
Max. Marks: 100
INTERNAL MEDICINE ? PAPER ? II (RS-4)
QP CODE: 1038
(QP Contains Two Pages)
Your answers should be specific to the questions asked
Draw neat, labeled diagrams wherever necessary
LONG ESSAYS
2 x 10 = 20 Marks
1.
35 year lady, with no comorbidities is brought to Emergency room with weakness of left
half of the body since 1 day
a. Discuss the differential diagnosis
b. Describe the management
2.
50 year old man with no comorbidities comes to Emergency room with cough and fever
since 5 days, expectoration since 2 days, dyspnea since 1 day. On examination he is
febrile, respiratory rate is 30/min, BP is 80/60 mm Hg, SpO2 is 80 percent with room air,
Respiratory system examination reveals bronchial breathing in right infrascapular area
a. Discuss the diagnosis
b. Describe the management
c. Describe the CURB 65 criteria
SHORT ESSAYS
8 x 5 = 40 Marks
3.
Describe the clinical features and management of Weil's disease
4.
Describe the GOLD's criteria and management of chronic bronchitis
5.
Describe and discuss relationship between CD4 count and risk of opportunistic infection in
HIV
6.
Define and Classify Pyrexia of unknown origin. Enumerate the causes.
7.
Discuss various tests for iron deficiency anemia and its interpretation
8.
Describe the differences between Acute Kidney Injury and Chronic Kidney Disease
9.
Describe clinical features and management of Steven Johnson syndrome
10.
Describe the clinical features and management of Depression
SHORT ANSWERS
10 x 3 = 30 Marks
11.
Enumerate the red flags in headache
12.
Enumerate the respiratory causes of clubbing
13.
Describe the treatment of Urinary tract infections
14.
Describe management and rehabilitation of degenerative joint disease in elderly
15.
Enumerate the ethical issues in care of elderly
16.
Describe the treatment of tension type headache
17.
Describe aetiopathogenesis of HIV related malignancies
18.
Enumerate the indications of lumbar puncture
19.
Describe the environmental factors causing malignancy
20.
Enumerate the drugs used in MDR tuberculosis
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QP CODE : 1038
Rajiv Gandhi University of Health Sciences, Karnataka
Multiple Choice Questions
10 x 1 = 10 Marks
21 i) All are risk factors for suicide EXCEPT
A. Unemployment
B. Drug or alcohol misuse
C. Female sex
D. Chronic physical ill health
21 ii
) All these are somatoform disorders EXCEPT
A. Chronic fatigue syndrome
B. Somatoform autonomic dysfunction
C. Dissociative conversion reaction
D. Eating disorders
21 ii
i) Circulating immune complexes causing glomerulonephritis are all EXCEPT
A. Cryoglobulinemia
B. Serum sickness
C. Endocarditis
D. Tuberculosis
21 iv)
Which of the following is NOT a Red flag symptom of malignancy?
A. Unexplained weight loss
B. Change in bowel habit
C. Fever
D. Bone pain
21 v)
Cause of pruritus in pregnancy are all EXCEPT
A. Acute cholestasis of pregnancy
B. Pemphigoid gestation
C. Polymorphic eruption
D. Porphyria
22 i) Features of intravascular hemolysis are all EXCEPT
A. Unconjugated hyperbilirubinemia
B. Reticulocytosis
C. Increased methaemalbumin
D. Increased haptoglobin
22
ii) Which of the following Factor does NOT suggest panic disorder?
A. Hyperventilation
B. Hypoventilation
C. Agoraphobia
D. Paresthesias in fingers
22 iii) Cause of intra cerebral haemorrhage are all EXCEPT
A. AV malformations
B. Amphetamine
C. Coagulopathy
D. Atrial fibrillation
22 iv)
Chronic non pulmonary complications of pulmonary tuberculosis are all EXCEPT
A. Empyema necessitans
B. Enteritis
C. Anorectal disease
D. Pharyngitis
22 v)
Tremors are NOT caused by
A. Theophylline
B. Caffeine
C. Primidone
D. Lithium
*****
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This post was last modified on 02 December 2024